Statement of Income Tax Filing - State of Oregon
STATEMENT OF INCOME TAX FILING
(Use only as applicable)
Residential Loan Program
Oregon Housing & Community Services Department
State of Oregon
Lender's Loan No.:
READ CAREFULLY BEFORE SIGNING
Check Section A and complete the information requested only if Federal Income Tax returns were not required for any year during the preceding three years.
A. I hereby certify I was not required by law to file a Federal Income Tax return for the following
year(s) for the reason(s) stated below:
Check Section B only if a Federal Income Tax return has not been filed for the year prior to which the closing will occur.
B. On the date of Residential Loan closing I had not yet filed Federal Income Tax returns for the
preceeding year. I will provide to the Lender a copy of my Federal Income Tax return at such
time as it is filed. When I file the Federal Income Tax return for the prior year, I will not be
entitled to, nor will I claim, deductions for taxes or interest on indebtedness for property
constituting my principal residence for that year.
I FULLY UNDERSTAND that each of the above statements is material to obtaining an Residential Loan and declare, under penalty of perjury which is a felony offense, the above statements are true and correct.
Date: Borrower:
Co-Borrower:
................
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